NPIMap

Organization Active NPI

Orthosports Physical Therapy

  • Physical Therapy Clinic/Center
  • Glendale, AZ
National Provider Identifier
1265808240
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2055 Issued in AZ
Legal business name
ORTHOSPORTS PHYSICAL THERAPY
Practice address
5620 W Thunderbird Rd Ste B1
Glendale, AZ 85306-4638
Phone
(602) 989-0408
Fax
(623) 433-8860
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen A Donahue, PT
Title
Owner, Physical Therapist
Phone
(602) 989-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2055 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd Ste B1
Glendale, AZ 85306-4638

Mailing address

PO Box 10837
Glendale, AZ 85318-0837
Phone (602) 989-0408

National Provider Directory

National Provider Directory

Locations

16835 N Park Pl
Ste 4
Glendale, AZ 85306
Phone (602) 938-2422

3802 N 53rd Ave
Ste 260
Phoenix, AZ 85031
Phone (623) 846-0992

15015 W Bell Rd
Surprise, AZ 85374
Phone (602) 938-2422

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1265808240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10837",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180837",
            "telephone_number": "602-989-0408",
            "fax_number": "623-433-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE B1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064638",
            "telephone_number": "602-989-0408",
            "fax_number": "623-433-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-989-0408",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.